KATARZYNA D KUSZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

KATARZYNA D

Last Name

KUSZ

Business Name

KATARZYNA D KUSZ

Original Issue Date

12/15/1997

Effective Date

12/15/1997

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005